Version 2 - Blue Cross Blue Shield of RI

Blue Cross & Blue Shield of Rhode Island

Provider Control Report Error Message Code Guide

Version 2.0 Status: Published February 24, 2014

Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association.

Blue Cross & Blue Shield of Rhode Island Provider Control Report Error Message Code Guide

This document may be revised and republished if and when Blue Cross & Blue Shield of Rhode Island makes improvements and/or changes to any referenced product, process or program. The information and contents of this document and any notes or handouts, if any (together "document"), contain confidential and proprietary information, and are not to be disseminated, reproduced, printed, translated or transmitted in any form, in whole or in part, without the prior written consent or express permission of Blue Cross & Blue Shield of Rhode Island. Use and distribution limited solely to authorized personnel. 2012 ? Blue Cross & Blue Shield of Rhode Island All Rights Reserved.

PREFACE

The BCBSRI PFEx Error Message Code Interpretation provides trading partners with information regarding the error codes generated by BCBSRI when P (Professional), I (Institutional) , D (Dental), and A (ALL) claims are rejected after electronic submission to Blue Cross & Blue Shield of Rhode Island (hereinafter "BCBSRI").

DISCLAIMER

This document is considered a living document, and as such, the information provided herein will be subject to change prior to and after July 1, 2011 in the event that BCBSRI revises its policies or HIPAA 5010 Transactions and Code Sets law is updated or amended.

Version: 2.0

February 24, 2014

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Table of Contents

1.0 Introduction ..................................................................................................................................1 2.0 Scope.............................................................................................................................................1 3.0 Contact Information .....................................................................................................................1 4.0 Error Message Codes ..................................................................................................................2 5.0 Document Version Control.......................................................................................14

Version: 2.0

February 24, 2014

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Blue Cross & Blue Shield of Rhode Island Provider Control Report Error Message Code Guide

1.0 Introduction

This document provides an interpretation of the error message codes returned to trading partners when submitted electronic claims transactions are rejected by BCBSRI.

2.0 Scope

The code/message explanations found in the table in Sections 4.0 are generated for BCBSRI Corporate Professional (P), Institutional (I), Dental (D), and All (A) Claim Types.

3.0 Contact Information

BCBSRI will work closely with its trading partners to establish effective communication protocols and to resolve any connectivity issues that may arise regarding the exchange of HIPAA-related electronic transactions.

The following contact information is provided to assist in the process of implementing 837 transactions:

Email Address: Applicable Web sites:

HIPAA.EDI.Support@

Support business hours are Monday through Friday, 8:00 AM to 4:30 PM.

For HIPAA EDI Production Support:

Contact the Information Technology (IT) Service Desk, which supports BCBSRI, at 401-751-1673 or 1-800-343-5743. The business hours are Monday through Friday, 8:00 AM to 4:30 PM.

Version: 2.0

February 24, 2014

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